| NPI | 1770775470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10099100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA HMT186843) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 271723) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 43363) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2018-03-17 |